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目的:分析新型农村合作参合居民县域30天内再入院现状,描述其疾病类型、就诊路径及就医间隔等特征。方法:以重庆黔江6年的住院数据为基础,通过Excel编程技术,结合ICD-10疾病编码分类,筛选出30天内因同一疾病或相关疾病在区内多次住院的患者,进行描述性统计分析。结果与结论:30天内再入院比例不断上升,总体占比19.85%,其中52.24%因相同或相似疾病再入院。同级再入院比重较大,其中“县-县”占比快速增加,“县-乡”跨级再入院比重逐年降低;呼吸系统、消化系统和妇产科等疾病占比较高,其中肿瘤患者再入院率最高,达到39.56%;1周内再入院人数呈下降趋势,2014年降至42.40%。
OBJECTIVE: To analyze the status of rehospitalization within 30 days of the participation of new rural cooperative residents in the county, and to describe the characteristics of the disease type, treatment route and medical treatment interval. Methods: Based on the 6-year inpatient data of Qianjiang in Chongqing, through Excel programming technology combined with ICD-10 disease coding classification, patients who were hospitalized for the same disease or related diseases multiple times in the district within 30 days were selected for descriptive statistical analysis . RESULTS AND CONCLUSION: The proportion of re-admission within 30 days continued to rise, accounting for 19.85% of the total, of which 52.24% were admitted to hospital for the same or similar diseases. The proportions of “county-county” increased rapidly and the proportion of “county-township” inter-level readmission decreased year by year. The diseases such as respiratory system, digestive system and obstetrics and gynecology accounted for a relatively high proportion Among them, the readmission rate of cancer patients was the highest (39.56%); the number of readmission decreased in 1 week and decreased to 42.40% in 2014.